Pre Event Form

Before we begin...

Audience and Event Profile

Thank you for inviting me to come and speak. I am honored and grateful.

I consider each and every talk I give to be a privilege. It is my intention every time I speak to make a difference in the life of every person in the room. My goal is to cause a transformation - a fundamental shift in the way people look at the issues we're discussing. We achieve that goal together, and one of the things I need from you in order to do my part is a good understanding of what I like to call the "listening" into which I will be speaking. In other words, it's important for me to know the background of the event, who's in the room, and where they're coming from, not just geographically, but in a professional, even philosophical sense.

I request that you take a few minutes to look at the questions below, give them a little thought, and complete and submit this form. That way I'll have your thoughts with me from now until the time I give the talk, which is very helpful to me as I reflect on how I will say the things I'm coming to say.

Thank you for the difference you make in the world. I look forward to working with you to expand on it.

Dan Pallotta

Please answer the questions below AS FULLY AS YOU'RE ABLE.

If you have any documents you would like to send along please email to sara@danpallotta.com. Thank you.

Your Name *

Your Name

First Name

Last Name

Your Email Address *

Event Date

Event Date

MM

DD

YYYY

Event Name

How many years has this event been taking place?

Is there an overall theme/objective for this event?

How many attendees are you expecting?

Where are the attendees from, geographically?

What is the make-up of the audience in terms of position- are they donors, staff, volunteers, CEO's, COO's and please tell us what you can about the mix.